LANE HOME (NPI# 1578628574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578628574 |
| Entity Type | Organization |
| Organization Name | LANE HOME |
| Practice Address |
3620 Lizzie Mill Rd Selma NC 27576-8603 |
| Practice Telephone | 9199658407 |
| Practice Fax Number | 9199658409 |
| Mailing Telephone | 9199658407 |
| Mailing Fax Number | 9199658409 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUE BATTEN LANE (DIRECTOR) |
| Authorized Official Telephone | 9199658407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-051-048 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603522 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | LANE HOME & CONSTRUCTION L.L.C. | Rt 3 Box 52, Tecumseh, OK 74873 |
| Colorado Business Entities | Lane Home LLC | 5236 Renault Ct., Colorado Springs, CO 80922 |
| New York State Corporations | LANE HOME PARK LLC | 3 Westside Ave, Spring Valley, New York 10952 |
| Virginia Business Entities | Lane Home Services LLC | 37095 Snickersville Tnpk, Purcellville, Virginia 20132 |
| Virginia Business Entities | LANE HOMES & REMODELING INC. | 12536 Patterson Ave, Richmond, Virginia 23238 |
| Washington State Corporations | LANE HOMES LLC | 215 105th St Se, Everett, WA 98208-3929 |
| Virginia Business Entities | LANE HOMES OF VIRGINIA INC. | 1602 Harvest Green Ct., Reston, Virginia 20194 |
| Colorado Business Entities | Lane Homes, llc | 1472 Criterion St., Delta, CO 81416 |
| Iowa Business Entities | LANE HOMES, LLC | 2924 104th St, Urbandale, IA 50322 |
| Street Address |
3620 LIZZIE MILL RD |
| City | SELMA |
| State | NC |
| Zip Code | 27576-8603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588057913 | Andre Williams | Technician, Other | 110 Aj Lane, Wendell, NC 27576 | 2015-03-10 |
| 1184024010 | Jeffrey Ray Watson | In Home Supportive Care | 200 South Massey Street, Selma, NC 27576 | 2014-08-28 |
| 1407109390 | Community and Senior Services of Johnston Cou | Non-emergency Medical Transport (VAN) | 1050 West Noble Street, Selma, NC 27576 | 2012-10-17 |
| 1992951321 | A Step Above Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 512 Webb St, Selma, NC 27576 | 2008-08-18 |
| 1972707222 | Preferred Home Care, Inc. | Home Health | 1100- B S. Pollock Street, Selma, NC 27576 | 2007-06-12 |
| 1700992922 | Waccamaw Pain Partners Pa | Physical Medicine & Rehabilitation | 4033 Hwy 17 Bypass, Suite 108, Murrells Inlet, SC 27576 | 2006-08-21 |
| 1578663472 | Jill Liberty Sonner | Dentist | 1111 S Pollock St, Selma, NC 27576 | 2006-09-22 |
| 1851937148 | Stevens House of Hope, Inc | Adult Companion | 1002 W Waddell St, Selma, NC 27576-2028 | 2019-11-21 |
| 1316501232 | Right At Home Home Healthcare | Home Health | 101 N Green St, Selma, NC 27576-2111 | 2019-04-25 |
| 1053682815 | Michael Na Daniels | Counselor | 105 Winter Ct, Selma, NC 27576-2189 | 2012-01-25 |
| Find all providers in zip 27576 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992951321 | A Step Above Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 512 Webb St, Selma, NC 27576 | 2008-08-18 |
| 1497812234 | Ddc Group Home Management Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 159 Montgomery Heights Rd, Selma, NC 27576-6407 | 2007-01-02 |
| 1760597215 | United Methodist Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1712 Broad St, Selma, AL 36701-4102 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.